A nurse has just completed assessment charging on the electronic record for an assigned client. An assistive personnel who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?
Recommend the AP come back later when the record is available
Log out so the AP can log in to document the vital signs
Offer to chart the vital signs for the AP
Allow the AP to document the vital signs prior to logging out
The Correct Answer is B
a. Recommend the AP come back later when the record is available:
This option delays the documentation process unnecessarily and may inconvenience the AP.
It doesn't address the issue of maintaining patient confidentiality and accurate documentation.
b. Log out so the AP can log in to document the vital signs:
This is the correct choice as it ensures that each individual's documentation is attributed to the correct user.
It maintains patient confidentiality and adheres to HIPAA regulations.
It allows the AP to complete their task efficiently while preserving the integrity of the electronic record.
c. Offer to chart the vital signs for the AP:
This option involves the nurse taking over the responsibility of documenting the vital signs for the AP, which could lead to confusion and potential errors.
It's not the most appropriate solution as it may not be feasible for the nurse to document the vital signs accurately without directly measuring them.
d. Allow the AP to document the vital signs prior to logging out:
Allowing the AP to document vital signs under the nurse's login compromises the integrity of the electronic record and violates HIPAA regulations.
It's not an acceptable practice as it can lead to inaccuracies in the documentation and compromises patient confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. "You should contact the provider about your wishes for your family member."
While the provider may ultimately be involved in decision-making, it's important for the nurse to address the conflicting wishes and provide guidance on the appropriate steps to take in such situations.
b. "You should speak with the facility’s ethics committee about your concerns."
In cases of conflicting wishes or ethical dilemmas, involving the ethics committee can be beneficial. However, this response might not address the immediate need for clarification and guidance.
c. "We’ll need to have the nursing supervisor review the client’s advance directives."
Reviewing advance directives with the nursing supervisor is a reasonable step to ensure that the client's wishes are documented and followed. However, it might not directly address the conflicting wishes or provide immediate resolution.
d. "As the health care surrogate, the client’s partner can make this decision."
This is the correct response. The health care surrogate, appointed by the client or legally recognized as such, has the authority to make medical decisions on behalf of the unconscious client. It's important to follow the client's advance directives and legal designations regarding
Correct Answer is D
Explanation
a. Instruct the client’s family to contact the insurance provider about the oxygen equipment:
This option involves instructing the client's family to take action by contacting the insurance provider. While it may be helpful for the family to be aware of insurance coverage, it does not directly address the immediate issue of the client needing oxygen upon discharge. Additionally, the family may not have the necessary information or authority to resolve the delivery delay.
b. Send an oxygen tank from the facility home with the client:
This option involves providing the client with an oxygen tank from the facility to ensure they have access to oxygen upon discharge. While it may temporarily address the client's immediate need, it may not be feasible or appropriate for the facility to provide oxygen equipment directly without coordinating with the equipment company and following proper protocols.
c. Contact social services about the delivery of the oxygen equipment:
This option involves contacting social services to seek assistance with resolving the delay in oxygen equipment delivery. Social services may be able to intervene and expedite the delivery process or explore alternative solutions to ensure the client's needs are met. Involving social services can be beneficial in navigating complex discharge issues.
d. Notify the provider about the delayed oxygen tank delivery:
It is important to inform the provider about the delay in oxygen equipment delivery so they can be aware of the situation and make any necessary adjustments to the discharge plan or arrange for alternative solutions. The provider may also assist in expediting the delivery or provide additional instructions for managing the situation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.